Healthcare Provider Details

I. General information

NPI: 1013872399
Provider Name (Legal Business Name): HP PEDIATRIC DENTISTRY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 RARITAN AVE
HIGHLAND PARK NJ
08904-3601
US

IV. Provider business mailing address

901 RARITAN AVE
HIGHLAND PARK NJ
08904-3601
US

V. Phone/Fax

Practice location:
  • Phone: 732-374-9290
  • Fax: 732-374-9451
Mailing address:
  • Phone: 732-374-9290
  • Fax: 732-374-9451

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number
License Number State

VIII. Authorized Official

Name: ABRAHAM BLASHKA
Title or Position: OWNER DENTIST
Credential: DDS
Phone: 732-374-9290